<%@ include file="/jsp/common.jsp" %>
<%@ page  language="java" import="java.util.*" contentType="text/html; charset=utf-8" pageEncoding="utf-8"%>
<head>
<link href="../css/mainbody_style.css" rel="stylesheet" type="text/css" />
</head>
<body>
	<div>
		<form>
			<table style="line-height:2em;">
				<tr>
					<td>接收省份</td>
					<td><input type="text" name="" value=""/></td>
					<td>毕业省份</td>
					<td><input type="text" name="" value=""/></td>
				</tr>
				<tr>
					<td>入学年级</td>
					<td><input type="text" name="" value=""/></td>
					<td>入学班级</td>
					<td><input type="text" name="" value=""/></td>
				</tr>
				<tr>
					<td>学生姓名</td>
					<td><input type="text" name="" value=""/></td>
					<td>性别</td>
					<td><input type="text" name="" value=""/></td>
				</tr>
				<tr>
					<td>学籍编号</td>
					<td><input type="text" name="" value=""/></td>
					<td>身份证件类型</td>
					<td><input type="text" name="" value=""/></td>
				</tr>
				<tr>
					<td>身份证件号码</td>
					<td><input type="text" name="" value=""/></td>
					<td>申请时间</td>
					<td><input type="text" name="" value=""/></td>
				</tr>
				<tr>
					<td>申请理由</td>
					<td colspan="3">
						<textarea rows="6" cols="50" name="reasons"></textarea>
					</td>
				</tr>
				<tr>
					<td>证明材料</td>
					<td colspan="3">
						<input type="file" name="file"/>
					</td>
				</tr>
				<tr>
					<td colspan="4">
						<input type="button" class="button_sub01" value="提交"/>
					</td>
				</tr>
			</table>
		</form>
	</div>
</body>